Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keisha Lee Tuck

Individual provider Other Specialist/Technologist · NPI 1396481503

Keisha Lee Tuck is an Other Specialist/Technologist in Gallup, New Mexico. Licensed in North Carolina. Registered with an NPI since 2022.

Licensed in
NC
In the registry since
2022

Practice location Address checks out

516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone: (505) 722-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Specialist/Technologist (primary) Taxonomy 246Z00000X · Licence 180581 (NC)

Record details

NPI number1396481503
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 10, 2022
Last updated in NPPESMay 10, 2022
Certification dateMay 9, 2022
Mailing address3514 Aldie Ct, Raleigh, NC 27610-6925